Medicare institutional claim

Technical problems with Medisoft.
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hrw911
Posts: 173
Joined: Thu Jul 14, 2011 4:19 pm

Medicare institutional claim

Post by hrw911 » Fri Nov 09, 2018 3:41 pm

I have a Medicare electronic UB that was returned for the reason:

31300 The payer code must be equal to A,B,C,D,E,F,G,H,L or Z

When I contacted EDI, they stated that it can be included in any of the following three locations:

loop 2400 SV2
loop 200B SVR
loop 2430 SVD

Medicare is the secondary payer on the claim, but this information needs to be associated with the primary payer.

How you I get Medisoft to populate this data correctly. I'm using Medisoft Advanced version 19 sp. 1.

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Gavin Walker
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Re: Medicare institutional claim

Post by Gavin Walker » Mon Nov 12, 2018 12:52 pm

So are they talking about the Claims Payer ID field? It doesn't make sense that it would just be an "A" or "Z".
Gavin Walker
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hrw911
Posts: 173
Joined: Thu Jul 14, 2011 4:19 pm

Re: Medicare institutional claim

Post by hrw911 » Mon Nov 12, 2018 4:06 pm

It's not the Claims Payer ID. It's a payer code that identifies what kind of payer it is. For example "D" is for an auto carrier, "A" is for a EGHP (employer group health plan), etc.

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